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Review
. 2023 Jul;64(7):980-988.
doi: 10.1111/jcpp.13777. Epub 2023 Mar 6.

Practitioner Review: Psychosis in children and adolescents

Anna Sunshine  1 , Jon McClellan  1
Affiliations
Review

Practitioner Review: Psychosis in children and adolescents

Anna Sunshine et al. J Child Psychol Psychiatry. 2023 Jul.

Abstract

Psychotic symptoms, including hallucinations, delusions, and disorganized thinking and behaviors, are the hallmarks of schizophrenia; but may also present in the context of other psychiatric and medical conditions. Many children and adolescents describe psychotic-like experiences, which can be associated with other types of psychopathology and past experiences (e.g., trauma, substance use, and suicidality). However, most youth reporting such experiences do not have, nor will ever develop, schizophrenia or another psychotic disorder. Accurate assessment is critical because these different presentations have different diagnostic and treatment implications. For this review, we focus primarily on the diagnosis and treatment of early onset schizophrenia. In addition, we review the development of community-based first-episode psychosis programming, and the importance of early intervention and coordinated care.

Keywords: Psychosis; genetics; schizophrenia.

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References

    1. American Academy of Child and Adolescent Psychiatry (AACAP). (2013). Practice parameter for the assessment and treatment of children and adolescents with schizophrenia. Journal of the American Academy of Child and Adolescent Psychiatry, 52, 976–90. - PubMed
    1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders, Fifth Edition. Arlington, VA: American Psychiatric Association.
    1. Ayesa-Arriola R, de la Foz VO, Setién-Suero E, Ramírez-Bonilla ML, Suárez-Pinilla P, Son JM, Vázquez-Bourgon J, Juncal-Ruiz M, Gómez-Revuelta M, Tordesillas-Gutiérrez D, Crespo-Facorro B. (2020). Understanding sex differences in long-term outcomes after a first episode of psychosis. NPJ Schizophrenia, 6, 33. - PMC - PubMed
    1. Bresnahan M, Begg MD, Brown A, Schaefer C, Sohler N, Insel B, Vella L, and Susser E (2007). Race and risk of schizophrenia in a US birth cohort: another example of health disparity? International Journal of Epidemiology, 36(4), 751–758. 10.1093/ije/dym041 - DOI - PubMed
    1. Bromet EJ, Kotov R, Fochtmann LJ, Carlson GA, Tanenberg-Karant M, Ruggero C, & Chang SW (2011). Diagnostic shifts during the decade following first admission for psychosis. American Journal of Psychiatry, 168, 1186–1194. - PMC - PubMed

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